Individual provider Active NPI

Zachary Jordan Woods, LMT

  • Massage Therapist
  • McMinnville, OR
National Provider Identifier
1972170132
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
26363 Issued in OR
Practice address
2214 NE McDonald LN
McMinnville, OR 97128-2702
Phone
(503) 434-6603
Fax
(503) 434-6746
NPI assigned
Jun 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 26363 OR Primary

Addresses

Primary practice location

2214 NE McDonald LN
McMinnville, OR 97128-2702

Mailing address

2214 NE McDonald LN
McMinnville, OR 97128-2702
Phone (503) 434-6603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
26363ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kearns Chiropractic Clinic Inc CurrentSince Jun 15, 2021 Accepting new patients

Locations

2214 NE McDonald Ln
McMinnville, OR 97128
Phone (503) 434-6603

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1972170132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 NE MCDONALD LN",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282702",
            "telephone_number": "503-434-6603",
            "fax_number": "503-434-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 NE MCDONALD LN",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282702",
            "telephone_number": "503-434-6603",
            "fax_number": "503-434-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ZACHARY",
        "middle_name": "JORDAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.